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PROJECT NAME <br />PROJECT NO <br />CONTRACT SIGNED <br />PROJECT DESCRIPTION <br />WITNESSETH: <br />CITY OF SOUTH BEND, INDIANA p <br />BOARD OF PUBLIC WORKS <br />r � <br />PROJECT COMPLETION AFFIDAVIT <br />Plaza Park Im rovements <br />122-047 FINAL COST $144,964.58 <br />7/26/2022 MAINTENANCE AGREEMENT ENDS <br />Base Bid only (no alternates) <br />The work under the above contract between the City of South Bend and the undersigned contractor having been <br />completed, the City of South Bend, its officials and agents are hereby released from all claims and demands whatsoever <br />arising under or by such contract, and that the contractor performed the work within the scope of the Specifications and <br />Standards of the City of South Bend which were a part of the above Contract. <br />ecute this - / �1* - day of 7vi -4 2 Acorn Landscaping LLC <br />Company Name <br />Si re 3680 W. Sample St. _ <br />V �c Company Address <br />Printed Name South Bend, IN 46619 <br />City, State, Zip <br />WITNESSESS: <br />Bef m VS0 undersigned Notary Public in and for said country and state, personally appeared <br />, and acknowledged his/her signature to the above Project Completion Affidavit on <br />44,91 day of lC , 20f— ate. <br />otary ignature My Commission Expires rsher <br />G� Notary Public Seal Slate of Indrana <br />[ St Joseph County <br />rnted Name County of Residence Commission Num0er NP0703483 <br />U <br />Expues OB/O1/2025 <br />If the Contractor is a corporatio the following certificate will be executed. <br />I, {'� l ESC. r certify that I am Secretary of the Corporation executing this release; that <br />who signed this release on behalf of the contractor was then <br />of said Corporation; that said release was duly signed for and on behalf of said <br />Ca orate n by Authority of its governing body, and is within the scope of corporate powers: <br />5ecre 's Signatur <br />_r- ZmAti I Corporate Seal <br />Printed Name <br />DEPARTMENT OF PUBLIC WORKS APPROVAL <br />This project is acceptable for final approval and we recommend to the Board of Public Works that it be ordained so. <br />Z_a�Gu- Date: 6/5/2023 <br />Consybction Manager <br />CITY OF SOUTH BEND, INDIANA <br />BOARD OF PUBLIC WORKS <br />Elizabeth A. Maradik, President <br />Gary A. Gilot, Member <br />Murray L. Miller, Member <br />le�zm <br />Joseph R. Molnar, Vice President <br />Jordan V. Gathers, Member <br />Attest: Theresa M. Heffner, Clerk <br />Date: June 13, 2023 <br />